Submitting a DHB hospital rapid assessment NPPA application
If you’re in a DHB hospital and your patient requires a treatment urgently, find out if NPPA rapid assessment is appropriate and how to apply.
On this page
Use a rapid assessment application when:
- treatment is to be administered to an inpatient of a DHB hospital
- the situation is urgent.
As a guide, if the treatment needs to start within 5 working days because of clinical urgency, then rapid assessment may be appropriate.
Pharmac (rather than your DHB) must assess any rapid assessment applications for:
- any pharmaceutical cancer treatment
Your application still needs to meet the standards set out on the NPPA application page.
Do not use rapid assessments to help discharge patients faster.
If a patient has started a treatment that is listed in the HML, but is not funded in the community and the treatment is required long term:
- do not make a rapid assessment NPPA application
- supply the patient 30 days' supply of treatment (under rule 3.5)
- make a standard NPPA application for community funding.
Claim number (EXCP number)
Pharmac can only issue a claim (EXCP) number when rapid applications are submitted to us for assessment. In general, we only provide these numbers when the treatment is needed in the community long term or applications for rituximab, infliximab or tocilizumab.
Use your usual DHB protocols if these three conditions are met:
- there is an immediate (life threatening) clinical need
- the medicine is not listed in the HML for use in that indication
- the medicine is available in the hospital.
Notify Pharmac if you’ve used a medicine in an emergency setting. We need to know:
- what medicine was used
- the patient’s clinical circumstances.
You can include it in the monthly reporting or email email@example.com
Pharmac will assess rapid assessment applications as quickly as we can within business hours.
Health Sector Portal
If you can access the Connected Health Network, you can use Pharmac’s Health Sector Portal to make your application. Tick the “rapid assessment” box.
- You need to use Internet Explorer 8 or higher to access this system.
- If you have problems accessing the forms, try a different browser or contact your IT team.
PDF NPPA forms
If you don’t have access to the Connected Health Network:
download the nppa application form
- NPPA application form [DOC 230 KB]
Tick the “rapid assessment” box
If your full application is over 20 MB, you can still submit the application form through the upload system. But send the attachments separately.
Alternatively you can:
Fax: 09 523 6870
PO Box 10254
Apply through the DHB
Where one exists, you can apply using your DHB’s rapid assessment process. Unless the rapid assessments is for rituximab, infliximab or tocilizumab.
Report the decision to Pharmac within one month to ReportRapidAssessment@pharmac.govt.nz
Phone: 0800 660 050 (option 2)
Fax: 09 523 6870
PO Box 10254